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依恋风格在中国十渡家长创伤后应激障碍和创伤后成长中的作用。

The role of attachment styles in post-traumatic stress disorder and posttraumatic growth in the Shidu parents of China.

作者信息

Shang Zhilei, Zhou Na, Xu Buhang, Diao Han, Cheng Suhui, Jia Yanpu, Wu Lili, Yan Wenjie, Liu Weizhi, Chen Geyu

机构信息

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, P. R. China.

Faculty of Psychology and Mental Health, Mental Health Education and Counseling Center, Naval Medical University, Shanghai, P. R. China.

出版信息

SAGE Open Med. 2025 Mar 18;13:20503121251324990. doi: 10.1177/20503121251324990. eCollection 2025.

DOI:10.1177/20503121251324990
PMID:40104512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11915255/
Abstract

BACKGROUND

The number of Shidu parents in China is significant and expected to continue increasing. The psychological status of Shidu parents deserves more attention.

OBJECTIVE

Our objective is to investigate the impact of post-traumatic stress disorder and attachment styles among Shidu parents on post-traumatic growth, with the aim of providing valuable insights for alleviating post-traumatic stress disorder symptoms and enhancing levels of post-traumatic growth following trauma.

DESIGN

Demographic data, the Revised Adult Attachment Scale, the Posttraumatic Stress Disorder Checklist for DSM-5, and the post traumatic growth inventory were used to investigated 297 Shidu parents.

METHOD

Two samples -test was employed to evaluate disparities in post-traumatic growth inventory scores based on post-traumatic stress disorder and diverse attachment styles. Pearson's correlation analysis was used to investigate the association between Post-traumatic Stress Disorder Checklist for DSM-5 scores and post-traumatic growth inventory scores, as well as the association between different attachment styles and post-traumatic growth inventory scores. We performed multiple mediator analyses to further confirm the influence of post-traumatic stress disorder and attachment styles on post-traumatic growth inventory.

RESULTS

(1) A total of 35% of the people tested positive for post-traumatic stress disorder; (2) A total of 56.9% of the participants exhibited secure attachment, while 43.1% exhibited insecure attachment; (3) The results unveiled a substantial negative correlation between the Posttraumatic Stress Disorder Checklist for DSM-5 scores and the post traumatic growth inventory scores; (4) A significant positive correlation was evident in relation to attachment dependence/closeness and post-traumatic growth inventory, while a significant negative correlation was established between attachment anxiety and post-traumatic growth inventory.

CONCLUSION

Our study suggests that post-traumatic growth inventory is associated with post-traumatic stress disorder and attachment styles in Shidu parents. It might offer new insights into influencing levels of post-traumatic growth through post-traumatic stress disorder intervention.

摘要

背景

中国失独父母数量可观且预计持续增加。失独父母的心理状况值得更多关注。

目的

本研究旨在探讨失独父母创伤后应激障碍及依恋风格对创伤后成长的影响,为缓解创伤后应激障碍症状及提升创伤后成长水平提供有价值的见解。

设计

采用人口统计学数据、成人依恋量表修订版、《精神障碍诊断与统计手册》第5版创伤后应激障碍检查表及创伤后成长问卷对297名失独父母进行调查。

方法

采用两样本t检验评估基于创伤后应激障碍及不同依恋风格的创伤后成长问卷得分差异。采用Pearson相关分析探究《精神障碍诊断与统计手册》第5版创伤后应激障碍检查表得分与创伤后成长问卷得分之间的关联,以及不同依恋风格与创伤后成长问卷得分之间的关联。进行多重中介分析以进一步确认创伤后应激障碍及依恋风格对创伤后成长问卷的影响。

结果

(1)共35%的受测者创伤后应激障碍检测呈阳性;(2)共56.9%的参与者表现出安全型依恋,43.1%表现出不安全型依恋;(3)结果显示《精神障碍诊断与统计手册》第5版创伤后应激障碍检查表得分与创伤后成长问卷得分之间存在显著负相关;(4)依恋依赖/亲密与创伤后成长问卷之间存在显著正相关,而依恋焦虑与创伤后成长问卷之间存在显著负相关。

结论

本研究表明,失独父母的创伤后成长问卷得分与创伤后应激障碍及依恋风格相关。通过创伤后应激障碍干预影响创伤后成长水平可能会提供新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e11f/11915255/925cd46e5815/10.1177_20503121251324990-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e11f/11915255/1206e25a7a63/10.1177_20503121251324990-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e11f/11915255/925cd46e5815/10.1177_20503121251324990-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e11f/11915255/1206e25a7a63/10.1177_20503121251324990-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e11f/11915255/925cd46e5815/10.1177_20503121251324990-fig2.jpg

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Ther Adv Psychopharmacol. 2024 Nov 15;14:20451253241298816. doi: 10.1177/20451253241298816. eCollection 2024.
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The application of machine learning techniques in posttraumatic stress disorder: a systematic review and meta-analysis.机器学习技术在创伤后应激障碍中的应用:一项系统综述和荟萃分析。
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More fear reduction, better posttraumatic stress symptoms resilience: 1 year longitudinal study based on the psychological trauma recover project-5-6.
更多恐惧减轻,更好的创伤后应激症状恢复力:基于心理创伤恢复项目-5-6的1年纵向研究。
Psychol Trauma. 2025 Jan;17(1):177-185. doi: 10.1037/tra0001674. Epub 2024 Feb 29.
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BMC Public Health. 2024 Jan 2;24(1):21. doi: 10.1186/s12889-023-17450-5.
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Posttraumatic Growth in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study.美国退役军人的创伤后成长:来自国家退役军人健康与韧性研究的结果。
Psychiatr Q. 2024 Mar;95(1):17-32. doi: 10.1007/s11126-023-10061-8. Epub 2023 Nov 8.
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Persistence of post-traumatic stress disorder in Chinese Shidu parents is associated with combined gray and white matter abnormalities.中国失独父母创伤后应激障碍的持续存在与灰质和白质异常有关。
Psychiatry Res Neuroimaging. 2023 Oct;335:111715. doi: 10.1016/j.pscychresns.2023.111715. Epub 2023 Sep 7.
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Illusory posttraumatic growth is common, but genuine posttraumatic growth is rare: A critical review and suggestions for a path forward.创伤后假性成长很常见,但真正的创伤后成长却很罕见:一项批判性综述及未来方向的建议。
Clin Psychol Rev. 2023 Jul;103:102301. doi: 10.1016/j.cpr.2023.102301. Epub 2023 Jun 5.
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PTSD Among Shidu Parents in China: The Roles of Personality Types and Social Support.中国失独父母的创伤后应激障碍:人格类型和社会支持的作用。
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Posttraumatic Stress Disorder and Anxiety-Related Conditions.创伤后应激障碍及相关焦虑障碍。
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